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General NPI Number Information
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NPI Number | 1144500299
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Entity Type | Individual
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Provider Name | CHRISTOPHER ROBERT BUNTING PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/21/2011
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Last Update Date | 08/21/2011
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Provider Practice Location Address
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Address Line | 4077 ROBERT C BYRD DR
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City | BECKLEY
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State | WV
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Zip | 25801-2203
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Country | US
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Telephone | 304-252-7313
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Fax |
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Provider Business Mailing Address
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Address Line | 137 WOODLAND DR
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City | DANIELS
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State | WV
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Zip | 25832-9272
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Country | US
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Telephone | 724-875-5721
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0007755
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP445736
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License Number State | PA
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